Regional Director of Clinical Reimbursement

Clayton Clinical; Fairfax (VA); On-site; USD 120,000 - 150,000; Full time

Benefits offered by this job

Competitive pay

PTO

401(k)

Daily pay

Medical, dental, vision

Wellness programs

Inclusive culture

Leadership training

Job summary

Clayton Clinical in Northern Virginia is seeking a Regional Director of Clinical Reimbursement (RN) to lead reimbursement strategy across multiple facilities. The role requires deep MDS expertise, regulatory knowledge, and strong leadership to optimize revenue and ensure compliance.

As a regional leader, you will mentor MDS coordinators, guide audits, and partner with facility and regional leadership to drive operational excellence and accurate coding across the region.

Qualifications

• Active RN license in VA.
• Minimum 3 years of MDS or reimbursement experience in a Skilled Nursing or LTC setting.
• Regional leadership experience strongly preferred.
• Must reside in or be willing to relocate to the Northern Virginia area.
• Strong working knowledge of MDS, PDPM, Medicare, and reimbursement regulations.
• Excellent analytical, organizational, and communication skills.
• Ability to collaborate across facility, regional, and corporate teams.
• Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.

Responsibilities

• Lead regional clinical reimbursement strategy to optimize revenue and ensure accuracy.
• Ensure compliance with state and federal regulations related to MDS, Medicare, and billing.
• Oversee ARD scheduling, MDS completion timelines, and documentation integrity.
• Chair regional reimbursement and revenue-focused meetings.
• Provide education, mentorship, and guidance to MDS Coordinators and IDT members.
• Support interviews, onboarding, and ongoing education for MDS leadership.
• Serve as a subject matter expert during audits, denials, and operational transitions.

Skills

RN license VA

Advanced leadership

MDS knowledge

Analytical skills

Communication

Education

RN license VA

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Outlook

Job description

Regional Director of Clinical Reimbursement (RN)

Location: Northern VA (Must live in or be willing to relocate)

Are you a results-driven registered nurse with deep expertise in clinical reimbursement and MDS strategy? Do you thrive in a regional leadership role where your work directly impacts care quality, compliance, and financial performance across multiple skilled nursing facilities?

This is an opportunity to step into a high-visibility regional leadership position where your knowledge, judgment, and ability to influence teams will drive measurable outcomes.

The Impact You’ll Make

As the Regional Director of Clinical Reimbursement, you will serve as a strategic partner to facility and regional leaders, ensuring reimbursement accuracy, regulatory compliance, and operational excellence across the region. This role requires strong leadership, advanced MDS expertise, and the ability to guide teams through complex reimbursement challenges.

This position is regionally based in the Northern Virginia area.

Key Responsibilities

• Lead regional clinical reimbursement strategy to optimize revenue and ensure accuracy

• Ensure compliance with state and federal regulations related to MDS, Medicare, and billing

• Oversee ARD scheduling, MDS completion timelines, and documentation integrity

• Chair regional reimbursement and revenue-focused meetings

• Provide education, mentorship, and guidance to MDS Coordinators and IDT members

• Support interviews, onboarding, and ongoing education for MDS leadership

• Serve as a subject matter expert during audits, denials, and operational transitions

Required Qualifications

• Active Registered Nurse (RN) license in VA.

• Minimum of 3 years of MDS or reimbursement experience in a Skilled Nursing or LTC setting

• Regional experience strongly preferred

• Must reside in or be willing to relocate to the Northern Virginia area

• Strong working knowledge of MDS, PDPM, Medicare, and reimbursement regulations

• Excellent analytical, organizational, and communication skills

• Ability to collaborate effectively across facility, regional, and corporate teams

• Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook

What We Offer

• Competitive compensation based on experience and expertise

• Generous paid time off

• 401(k) retirement plan

• Daily Pay options

• Comprehensive benefits package including medical, dental, vision, and disability coverage

• Wellness and employee support programs

• Inclusive, collaborative workplace culture

• Ongoing professional development and leadership training

Salary / Wage Range

Compensation will be determined based on qualifications, skills, competencies, and experience and may fall outside of the range shown.